Bishop Mora Salesian High School

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Re-registration for the 2021-22 school year is now open. Please complete the form below to register your student for the 2021-22 school year.

Please note that the registration deadline is Friday, April 16th. Students that pay registration by April 16th will be given top priority for class scheduling.

Re-registration for the 2021-22 school year

2021-22 Registration Fee

$400.00

50% down payment of Registration Fee

$200.00

($200 remaining balance due by June 15)

Total: $0.00

*Note - A 3% transaction fee has been added to
cover credit card fees, bank fees, and processing costs.

Student Information

Student Name: *

Student Grade:
in 2021-22 (next school year) *

Memo:

Payer Information

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone:

Email: *

A receipt will be emailed to this address.

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *